But after the 2009 cuts, there weren't enough of the staff to notice the conditions that resulted in a small 2011 dengue cluster in Oahu, says Yang — and although a few were hired in subsequent years, there were still only 25 vector management staff at the health department in late 2015.
In September 2000, a small outbreak of dengue was detected in Havana City; 138 cases of dengue fever (DF) were confirmed at that time, and both dengue 4 and dengue 3 viruses were isolated; the outbreak ended by December 66, 7 ).
There have been small outbreaks of dengue in Texas, USA, since 1980, all associated with increased transmission and importation from Mexico.
Finally, it was not meaningful to calculate incidence by site because of the small number of dengue cases by site.
The Hawaii experience demonstrates the potential of Ae. albopictus, under suitable conditions, to transmit small outbreaks of dengue within the United States.
From June 2007 through February 2008 in Tonga, small numbers of dengue cases, confirmed by ELISA, had been reported; the only DENV isolates recovered from these patients were 4 isolates of DENV-1 (J. Aaskov, unpub. data).
We drove with the Sierra Madre de Oaxaca on our left, until we reached San Baltazar Guelavila, where a hand-painted sign warned of dengue, and small boys bear-wrestled beside a pickup truck full of piñas.
As the small size of the dengue virus NS3 proteases did not allow a good sampling of the Gaussian distribution, this dataset was not included in the comparison.
Five years ago, the small community that studies dengue began discussing challenge trials, which made some people nervous, says Anna Durbin of Johns Hopkins Bloomberg School of Public Health in Baltimore.
